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Oklahoma Immunization Update
September 2013
PREVENTION and PREPAREDNESS SERVICES
IMMUNIZATION SERVICE
PLEASE POST & DISTRIBUTE TO ALL NURSING AND MEDICAL STAFF
Sign Up to Receive this Update by E-Mail:
Subscribe at: https://public.govdelivery.com/accounts/OKSDH/subscriber/new?topic_id=OKSDH_79.
All interested staff may subscribe, as there is no limit to the number of subscribers. You may cancel your subscription at any time.
Two Eastern Oklahoma Clinics Reach High Immunization Levels
Congratulations to the following clinics for achieving high immunization levels for children 19-35 months of age with the primary series of 4 DTaP, 3 polio, 1 MMR, 3 Hib, 3 HepB, and 1 varicella. Owasso Pediatric & Adolescent Medicine reached 80% up-to-date in July of this year, and Cherokee Nations Three Rivers Health Center in Muskogee reached 90% up-to-date.
Owasso Pediatric & Adolescent Medicine employed a variety of methods to achieve this level, including: Working with the nurses at St. John Owasso to make sure all doses of HepB vaccine given at birth were entered into the Oklahoma State Immunization Information System (OSIIS); Recalling children who were due for vaccines; Updating clients’ addresses in OSIIS to be sure the OSIIS recall cards reached the parents; Checking children’s vaccine records at each visit for any needed vaccines; Educating parents on when to come for Well Child Check-Ups; Receiving regular reports on their immunization levels from their Immunization Field Consultant; and Encouraging families to make appointments in advance to ensure that children receive vaccines with check-ups.
Cherokee Nations Three Rivers Health Center in Muskogee maintains high immunization levels by: Scheduling the next appointment before the child leaves the clinic; Reviewing children’s charts before each visit to compare the vaccines recorded in the Indian Health Service record system with the record in OSIIS to be sure they know exactly which vaccines the child needs; Making phone calls and sending letters every month to remind parents their children are due for vaccines; and Making home visits if there is no response to a letter.
The Immunization Service realizes that home visits may not be a feasible option for all clinics but, encourages all clinics to adopt methods and strategies appropriate for their circumstances to increase immunization levels.
New & Continuing Vaccine Allocations
Allocations for Sanofi Pasteur’s pertussis-containing vaccines, Daptacel® (DTaP) and Adacel® (Tdap) have been implemented for the Vaccines for Children (VFC) program due to a manufacturing issue. Sanofi also has implemented controls for these vaccines purchased through the private sector. GlaxoSmithKline should be able to increase its supply of pertussis-containing vaccines to fill any gaps related to these supply limitations. The supply should be sufficient to maintain routine vaccination of children, adolescents, and adults.
The limited supply may affect vaccine orders for VFC providers in Oklahoma during September and October of this year. If Daptacel and Adacel are not available in sufficient quantity to fill all requests the Oklahoma Immunization Service will substitute Infanrix® and Boostrix® to complete VFC orders.
Also, Sanofi’s combined DTaP-IPV/Hib vaccine, Pentacel®, continues to be in short supply and allocations to states will continue through October of this year.
Important Reminder for OSIIS Site Administrators
OSIIS site administrators are urged to periodically review the OSIIS user list for their clinic and inactivate employees who are no longer employed at the clinic or facility. The user list is located at the bottom of all OSIIS pages when you are logged in as Site Administrator.
Follow these steps to inactivate employees:
1. Click on the Users List tab at the bottom of the page to pull up a list of your employees who have OSIIS access.
2. Review the list for names of individuals no longer employed at your facility.
3. Click on the Manage Users tab at the bottom of the page.
4. Select Update Users.
5. Using the down arrow key, locate a former employee, highlight their name, and click on Submit.
6. When the employee’s information appears on your screen, use the down arrow key next to Status to change the status to Inactive.
7. Click on the Update button to complete the procedure.
If former employees are not inactivated, they can still gain access to OSIIS through any Internet connection. Allowing former employees to retain access to OSIIS is a violation of HIPAA regulations as the former employee no longer has a valid need to access OSIIS records. Please call 271-7200 with questions.
For an online version of this Update, visit the Immunization Service web page at: http://www.ok.gov/health/Disease,_Prevention,_Preparedness/Immunizations/Vaccines_for_Children_Program/index.html.
If you have any questions about this material, contact the Immunization Service by telephone at 405.271.4073 or by e-mail at immunize@health.ok.gov.

Oklahoma Immunization Update
September 2013
PREVENTION and PREPAREDNESS SERVICES
IMMUNIZATION SERVICE
PLEASE POST & DISTRIBUTE TO ALL NURSING AND MEDICAL STAFF
Sign Up to Receive this Update by E-Mail:
Subscribe at: https://public.govdelivery.com/accounts/OKSDH/subscriber/new?topic_id=OKSDH_79.
All interested staff may subscribe, as there is no limit to the number of subscribers. You may cancel your subscription at any time.
Two Eastern Oklahoma Clinics Reach High Immunization Levels
Congratulations to the following clinics for achieving high immunization levels for children 19-35 months of age with the primary series of 4 DTaP, 3 polio, 1 MMR, 3 Hib, 3 HepB, and 1 varicella. Owasso Pediatric & Adolescent Medicine reached 80% up-to-date in July of this year, and Cherokee Nations Three Rivers Health Center in Muskogee reached 90% up-to-date.
Owasso Pediatric & Adolescent Medicine employed a variety of methods to achieve this level, including: Working with the nurses at St. John Owasso to make sure all doses of HepB vaccine given at birth were entered into the Oklahoma State Immunization Information System (OSIIS); Recalling children who were due for vaccines; Updating clients’ addresses in OSIIS to be sure the OSIIS recall cards reached the parents; Checking children’s vaccine records at each visit for any needed vaccines; Educating parents on when to come for Well Child Check-Ups; Receiving regular reports on their immunization levels from their Immunization Field Consultant; and Encouraging families to make appointments in advance to ensure that children receive vaccines with check-ups.
Cherokee Nations Three Rivers Health Center in Muskogee maintains high immunization levels by: Scheduling the next appointment before the child leaves the clinic; Reviewing children’s charts before each visit to compare the vaccines recorded in the Indian Health Service record system with the record in OSIIS to be sure they know exactly which vaccines the child needs; Making phone calls and sending letters every month to remind parents their children are due for vaccines; and Making home visits if there is no response to a letter.
The Immunization Service realizes that home visits may not be a feasible option for all clinics but, encourages all clinics to adopt methods and strategies appropriate for their circumstances to increase immunization levels.
New & Continuing Vaccine Allocations
Allocations for Sanofi Pasteur’s pertussis-containing vaccines, Daptacel® (DTaP) and Adacel® (Tdap) have been implemented for the Vaccines for Children (VFC) program due to a manufacturing issue. Sanofi also has implemented controls for these vaccines purchased through the private sector. GlaxoSmithKline should be able to increase its supply of pertussis-containing vaccines to fill any gaps related to these supply limitations. The supply should be sufficient to maintain routine vaccination of children, adolescents, and adults.
The limited supply may affect vaccine orders for VFC providers in Oklahoma during September and October of this year. If Daptacel and Adacel are not available in sufficient quantity to fill all requests the Oklahoma Immunization Service will substitute Infanrix® and Boostrix® to complete VFC orders.
Also, Sanofi’s combined DTaP-IPV/Hib vaccine, Pentacel®, continues to be in short supply and allocations to states will continue through October of this year.
Important Reminder for OSIIS Site Administrators
OSIIS site administrators are urged to periodically review the OSIIS user list for their clinic and inactivate employees who are no longer employed at the clinic or facility. The user list is located at the bottom of all OSIIS pages when you are logged in as Site Administrator.
Follow these steps to inactivate employees:
1. Click on the Users List tab at the bottom of the page to pull up a list of your employees who have OSIIS access.
2. Review the list for names of individuals no longer employed at your facility.
3. Click on the Manage Users tab at the bottom of the page.
4. Select Update Users.
5. Using the down arrow key, locate a former employee, highlight their name, and click on Submit.
6. When the employee’s information appears on your screen, use the down arrow key next to Status to change the status to Inactive.
7. Click on the Update button to complete the procedure.
If former employees are not inactivated, they can still gain access to OSIIS through any Internet connection. Allowing former employees to retain access to OSIIS is a violation of HIPAA regulations as the former employee no longer has a valid need to access OSIIS records. Please call 271-7200 with questions.
For an online version of this Update, visit the Immunization Service web page at: http://www.ok.gov/health/Disease,_Prevention,_Preparedness/Immunizations/Vaccines_for_Children_Program/index.html.
If you have any questions about this material, contact the Immunization Service by telephone at 405.271.4073 or by e-mail at immunize@health.ok.gov.